CLARKSVILLE SENIOR CARE, LLC; NPI #1518915651

Contact Information

CLARKSVILLE SENIOR CARE, LLC

184 BUFFALO RD
CLARKSVILLE, VA 23927

Phone: 434-374-4141
Fax: 434-374-4491
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nursing Facility Supplies	332BN1400X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for CLARKSVILLE SENIOR CARE, LLC

NPI Number 1518915651

LBN Legal business name CLARKSVILLE SENIOR CARE, LLC

Authorized official STEWART NELSON - (CHIEF FINANCIAL OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/04/2006

Last updated 02/14/2008 - About 18 years ago

Identifiers

VA	License #	NH2745
VA	Medicaid	4960793

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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